# EDMISTEN CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SYNERGY HomeCare of Orange
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609566223
- **Authorized official:** TAMMIE MARE EDMISTEN (VICE PRESIDENT)
- **Authorized official phone:** (714) 253-3536

## Contact information

- **Practice address:** 1748 W KATELLA AVE STE 205, ORANGE, CA 92867-3430
- **Practice address phone:** (714) 253-3536
- **Practice address fax:** (714) 421-4705
- **Mailing address:** 1748 W KATELLA AVE STE 205, ORANGE, CA 92867-3430
- **Mailing address phone:** (714) 253-3536
- **Mailing address fax:** (714) 421-4705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2023
- **Last updated:** 10/26/2023